MRS. BREANA ELISSA SMITH DO
NPI 1790282598
Pediatrics in Tulsa, OK
About Mrs. Breana Elissa Smith Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BREANA ELISSA SMITH DO (NPI 1790282598) is an individual pediatrics provider in Tulsa, Oklahoma, licensed in Oklahoma (6765) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Breana Elissa Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Breana Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 147 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74135
TULSA, OK 74135
TULSA, OK 74135
TULSA, OK 74135
TULSA, OK 74135
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breana Smith's NPI number?
The NPI number for Breana Smith is 1790282598. It was assigned to this individual provider in the NPPES registry on April 9, 2018.
Where is Breana Smith located?
Breana Smith practices at 4444 E 41st St, Tulsa, OK 74135. The listed phone number is (918) 619-4400.
What is Breana Smith's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Breana Smith enrolled in Medicare?
Yes. Breana Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Breana Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breana Smith reassigns Medicare benefits to Stillwater Medical Center Authority (Stillwater, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breana Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breana Smith accept?
Health plans from CommunityCare, Mending Health and UnitedHealthcare list Breana Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Breana Smith was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Breana Elissa Smith, DO · NPI 1790282598
Pediatrics physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1790282598 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 6765 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 4444 E 41ST ST, Tulsa, OK 74135-2527
- **Phone:** (918) 619-4400 · **Fax:** (918) 619-4334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stillwater Medical Center Authority (NPI 1164494027, Stillwater, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790282598) · Data from the CMS NPPES public registry.